Evaluation of the Effect of Rehabilitation Sport After Total Hip Arthroplasty (THA)

Not Applicable

Completed

• Conditions: Osteoarthritis, Hip; Total Hip Arthroplasty; Sports Physical Therapy
• Interventions: Behavioral: rehabilitation sport

• Registration Number: NCT03584451
• Lead Sponsor: Technische Universität Dresden

Brief Summary

160 patients who received a total hip arthroplasty (THA) were included and randomized to receive specific rehabilitation sport (RS) or not (control) in addition to a conventional rehabilitation program. Upon completion of the rehabilitation phase 6 weeks, 6 months and 12 months after surgery sports medical measurements have been performed. Strength abilities of the hip muscles were tested with isokinetic dynamometry, postural control with a force measuring platform and endurance via lactate measurements.

Detailed Description

In Germany, rehabilitation sport (RS) is a reimbursed postoperative measure in order to support socio-professional reintegration and self-help.

160 patients who received a primary total hip arthroplasty (THA) were included and randomized to receive specific RS or not (control) in addition to a conventional rehabilitation program. Upon completion of the rehabilitation phase 6 weeks, 6 months and 12 months after surgery sports medical measurements have been performed. Strength abilities of the hip muscles were tested with isokinetic dynamometry, postural control with a force measuring platform and endurance via lactate measurements. The goal of the study was to prospectively randomized evaluate the effect of RS on hip-related muscular strength, endurance and postural stability on patients who underwent THA.

Study Timeline

• Study Start: 2015-02
• Primary Completion: 2017-07
• Study Completion: 2017-12
• Study First Submitted: 2018-06-04
• Study First Submitted QC: 2018-07-11
• Study First Posted: 2018-07-12
• Status Verified: 2018-08
• Last Update Submitted: 2018-08-16
• Last Update Posted: 2018-08-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 160

Inclusion Criteria

• non-complicated THA
• written informed consent

Exclusion Criteria

• complicated THA
• partial weight-bearing after surgery
• cardial comorbidities

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
with rehabilitation sport	rehabilitation sport	rehabilitation sport over 52 weeks after THA, start 6 weeks postoperatively

Primary Outcome Measures

Name	Time	Method
hip-related muscular strength	change from baseline (6 weeks) at 6 months after THA	hip-related muscular strength measured with isokinetic dynamometry

Secondary Outcome Measures

Name	Time	Method
Physical function hip - WOMAC	change from 6 months to 12 months after THA	WOMAC Total Score (worst=0, best=100)
cardiovascular endurance	change from baseline (6 weeks) at 12 months after THA	cardiovascular endurance via lactate measurements
Physical Activity	change from 6 months to 12 months after THA	University of California, Los Angeles (UCLA) Activity Scale (worst=1, best=10)
Hip pain	change from 6 months to 12 months after THA	Visual Analogue Scale (worst=0, best=10)
postural control	change from baseline (6 weeks) at 12 months after THA	postural control with a force measuring platform
hip-related muscular strength	change from baseline (6 weeks) at 12 months after THA	hip-related muscular strength measured with isokinetic dynamometry
Hip pain - WOMAC	change from 6 months to 12 months after THA	Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscore (worst=0, best=100)
Physical function hip - HHS	change from 6 months to 12 months after THA	Harris-Hip-Score (worst=0, best=100)
health related Quality of life	change from 6 months to 12 months after THA	EuroQol in 5 dimensions (EQ-5D) Index (worst=0, best=1), EQ-VAS (worst=0, best=100)